Nine months after the catastrophic 7.0 earthquake in 2010, when over 230,000 lost their lives, an already badly wounded nation then had to respond to a deadly cholera epidemic, which according to the World Health Organization (WHO), went on to kill another 10,000 people. Then came Hurricane Matthew, which slammed ashore in early October of 2016, setting the beleaguered country back yet again. Many towns on the western end of the country were flattened with over 850 killed and thousands more injured. With power lines down and water pipes broken, the flood water pooled and sewage overflowed. Shortly after the storm passed, the cholera bacteria returned with a vengeance. Within two weeks another 1,000 new cases (WHO) had been reported.

In a nation that struggles constantly with political and social unrest, the resounding shockwaves from each new disaster impose yet more tragedy on a place that seems eternally condemned.

'THE EPICENTER'- LEOGANE, HAITI. JANUARY 19, 2015. An unposed moment of a young man on his motorcycle outside the crumbling ruin of a building in Leogane, some 25 miles from the Haitian capital of Port-Au-Prince. Following the devastating 7.0 earthquake in January 2010, a United Nations disaster-response assessment team reported that this was 'the worst-hit area' with over 25,000 deaths and upward of 80% of all concrete structures destroyed.

'MOURNING IN THE CEMETERY' - PORT-AU-PRINCE, HAITI. JANUARY 12, 2015. On the fifth anniversary of the devastating earthquake, a young child stands to the side of her mourning mother who lies nearby in the Grand Cemetery of Port-Au-Prince, Haiti.

'RIDING WITH UN PEACEKEEPERS' - CITE SOLEIL, PORT-AU-PRINCE, HAITI. JANUARY 10, 2015. A young boy runs after and shouts at UN Peacekeepers while on patrol in a troubled neighborhood of downtown Port-Au-Prince. Following the 2010 earthquake, a United Nations peacekeeping base upstream from the capital was later found out to be the source of what became the worst cholera outbreak in the beleaguered nation's history. The Brazilian UN Peacekeepers pictured here are part of a revolving peacekeeping force that have been stationed in Haiti since 2006 following the breakdown of the then Aristide government and military rule.

'CHOLERA AFTER HURRICANE MATTHEW' - A tired relative of a cholera victim holds up an intravenous plastic bottle in Cholera Treatment Center in downtown Les Cayes - a town largely cut-off from road supply routes following Hurricane Matthew. There were no IV stands available in the ramshackle clinic from which to hang the dwindling stock of much-needed hydration bottles.

'CITY MORGUE OVERFLOW' - PORT-AU-PRINCE, HAITI. MAY 7, 2015. A man, a woman and her baby lie dead next to a wall outside the city morgue. They were lying behind a wooden board that when pulled back revealed the bodies. I was told by morgue workers close-by that continual power cuts (corpse refrigeration) and lack of city funds for proper disposal meant that bodies would be stored crudely until family members came to claim the bodies. In many case however, bodies were left unclaimed so were buried in mass graves later. Haitian culture prevents cremation.

'REMEMBERING THE DEAD' - PORT-AU-PRINCE, HAITI. JANUARY 12, 2015. At a memorial service inside the Grand Cemetery Church on the occasion of the fifth anniversary of the 2010 earthquake.

'SWOLLEN RIVER VALLEY'- SOUTHERN HAITI, OCTOBER 13, 2016. Ten days after the powerful Category 4 hurricane, the remote rural rivers were still swollen from the over 18 inches of rain that fell in mountainous regions of SW Haiti.

'POLITICAL RALLY IN PORT-AU-PRINCE' - PORT-AU-PRINCE, HAITI. JANUARY 20, 2015. A political protester stands by burning debris on a road at a heated protest through downtown Port-Au-Prince.

'BLOODIED & BEATEN' - PORT-AU-PRINCE, HAITI. JANUARY 11, 2015. A bloodied protester sits on the ground after being beaten by police while attending a political 'anti-corruption' rally held outside government ministry building in downtown Port-Au Prince. After being hit with police batons, he had run a few hundred yards away from the scene before dropping to the ground where I caught up with him and captured this moment.

'NURSING HURRICANE MATTHEW’S WOUNDED' - LES CAYES, HAITI. OCTOBER 15, 2016. The interior of a busy medical center in downtown Les Cayes where nurses tend to some of those injured by Hurricane Matthew. Family members and relatives wait by the door. The town of Les Cayes was the first place to be hit by the Category 4 storm that barreled through the area on October 2016.

'SCHOOLYARD SANITATION' - LES CAYES, HAITI. OCTOBER 14, 2016. Following the displacement of over 100,000 after Hurricane Matthew destroyed their homes, some 1,500 people moved to a local high school for shelter in downtown Les Cayes. Here a local medical worker sprays a chlorine mix onto the playground area to improve sanitation.

'TWIN CHOLERA RECOVERY' -CARREFORE, HAITI. JANUARY 14, 2015. Inside a cholera treatment center on the outskirts of Port-Au-Prince, a tired mother sits with her sick three year old twin girls. At the time of photography, the twins had been downgraded from the 'Dehydration state' of Stage 2 cholera into the 'recovery stage', otherwise known as Stage 1.

'CHOLERA RECOVERY' - CARREFORE, HAITI. JANUARY 14, 2015. At Cholera Treatment Center (CTC) in one of Port-Au-Prince's coastal outskirts, an elderly man gulps water for rehydration. According to the World Health Organization, children and the elderly are proven to be the most susceptible to cholera.

'IN THE GRIPS OF CHOLERA' - LES CAYES, HAITI. OCTOBER 15, 2016. At a makeshift medical treatment center in downtown Les Cayes, a concerned son holds his weak mother's wrist while talking on his mobile phone to relatives. According to World Health Organization figures (released at the end of October 2016), an estimated 1,300 people had contracted cholera after Hurricane Matthew ripped through the area on October 5th, 2016.

'UNMARKED SHALLOW GRAVES' - PORT-AU-PRINCE, HAITI. MAY 7, 2015. In the hills of Titanyen, some 10 km outside of Port-Au-Prince, lie the crudely wrapped bodies that were illegally deposited in mass graves by health officials using private contracted disposal companies. When the local residents tried to stop the late night dumping of these bodies, they were dispersed by the Haitian national police with tear gas just a few days before this image was taken. In a twist of grim irony, many of these residents who had moved from the earthquake rubble to these peaceful hills five years earlier, were now being confronted with the morbid hell from which they escaped.